REYNOLDS MEMORIAL HOSPITAL, INC. (NPI# 1861698953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861698953 |
| Entity Type | Organization |
| Organization Name | REYNOLDS MEMORIAL HOSPITAL, INC. |
| Other Organization Name | REYNOLDS MEMORIAL HOSPITAL HOME INFUSION |
| Practice Address |
800 Wheeling Ave 2nd Floor Glen Dale WV 26038-1660 |
| Practice Telephone | 3048533379 |
| Mailing Telephone | 3048533379 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | JOHN A. SICURELLA (CEO) |
| Authorized Official Telephone | 3048433379 |
| Is Organization Subpart | Y |
| Parent Organization Name | REYNOLDS MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
OP0551193 | WV | Suppliers |
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
OP0551193 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0001309003 | 05 | |
| WV | UPPER OHIO VALLEY HP PROV | INF045 | 01 |
| WV | MT. STATE BCBS | 001748043 | 01 |
| Other Name | Type Code |
|---|---|
| Reynolds Memorial Hospital Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843477 | Reynolds Memorial Hospital, Inc. | Skilled Nursing Facility | 800 Wheeling Avenue, Glen Dale, WV 26038-1660 | 2005-10-04 |
| 1265040356 | Reynolds Memorial Hospital, Inc. | Internal Medicine | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2020-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REYNOLDS MEMORIAL HOSPITAL, INC. | 800 Wheeling Ave Fl 1 Ste 1215, Glen Dale, WV 26038-1660 |
| Street Address |
800 WHEELING AVE 2ND FLOOR |
| City | GLEN DALE |
| State | WV |
| Zip Code | 26038-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228305 | Reynolds Memorial Hospital,inc | General Acute Care Hospital | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2005-07-12 |
| 1922609155 | Wvuhs Home Care, LLC | Home Health | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2020-11-04 |
| 1588270516 | Kayla Mansfield | Nurse Practitioner | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2020-09-16 |
| 1265040356 | Reynolds Memorial Hospital, Inc. | Internal Medicine | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2020-07-15 |
| 1366078370 | Amber Rhyan Gower | Pharmacist | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2020-03-21 |
| 1841840840 | Zachary C Fairbanks | Physician Assistant | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2019-09-12 |
| 1588218820 | United Hospital Center, Inc. | Home Health | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2019-07-25 |
| 1477010551 | Sarah Kasserman Marshall | Nurse Practitioner | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2019-02-26 |
| 1780151787 | Daniel Marshall | Nurse Practitioner | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2018-10-28 |
| 1366938482 | Kimberly Lynn Rinard | Physician Assistant | 800 Wheeling Ave, Glen Dale, WV 26038-1697 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224432 | Kaitlin Renee Goddard | Occupational Therapist | 605 Woodridge Drive, Glen Dale, WA 26038 | 2018-08-09 |
| 1992012728 | Ignacio H Luna Md Inc | Urology | 426 Eighth St., Suite 300, Glen Dale, WV 26038 | 2010-08-31 |
| 1073609178 | Ignacio Hoelzl Luna | Urology | 426 Eight Street, Suite 300, Glendale, WV 26038 | 2006-10-05 |
| 1205882172 | Michail Dolgovskij | Family Medicine | 2100 Little Grave Creek, Glen Dale, WV 26038 | 2006-05-25 |
| 1801892013 | Glen Dale Vol. Fire Dept, Inc. | Ambulance | 402 Wheeling Ave., Glen Dale, WV 26038 | 2005-06-22 |
| 1942859897 | Ocucare Ophthalmic Services, Pllc | Optometrist | 316 4th St, Glen Dale, WV 26038 | 2019-09-04 |
| 1568816072 | Janet Lynn Hicks | Nurse Practitioner | 426 8th St Ste 305, Glen Dale, WV 26038 | 2016-04-20 |
| 1689074429 | Jayda Renae Varner | Specialist/Technologist | 3191 Glen Dale Heights Rd, Glen Dale, WV 26038-1177 | 2014-08-29 |
| 1841475423 | Linda Dougherty | Case Manager/Care Coordinator | 30 Sun Vly, Glen Dale, WV 26038-1222 | 2008-01-02 |
| 1033399175 | P & P Health Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 26 Sun Vly, Glen Dale, WV 26038-1222 | 2007-11-06 |
| Find all providers in zip 26038 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063879096 | Hpc Specialty Rx West Virginia Inc | Pharmacy | 118 Lafayette Ave Ste 200, Moundsville, WV 26041-1029 | 2016-01-21 |
| 1659712958 | Claire-frances Health Services | Pharmacy | 2568 Pennsylvania Ave, Charleston, WV 25302 | 2013-07-15 |
| 1245421312 | Grant Memorial Hospital Home Infusion Therapy Services | Pharmacy | Rt 4 and 28, Petersburg, WV 26847 | 2007-08-05 |
| 1285793281 | Loop Plaza Pharmacy Co Inc | Pharmacy | 4918 Maccorkle Ave Se, Charleston, WV 25304-2052 | 2006-12-06 |
| 1457343451 | Home Care Plus, Inc. | Pharmacy | Rr 2 Box 169g, Greyrock Professional Bldg., Lewisburg, WV 24901-9316 | 2005-08-17 |
| 1336485663 | Cmc Pharmacy, LLC | Pharmacy | 3100 Maccorkle Ave Se Ste 100, Charleston, WV 25304-1215 | 2012-12-13 |
| 1750441960 | Hurley Drug Co Inc | Pharmacy | 210 Logan St, Williamson, WV 25661 | 2006-12-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.